Maternity and Pediatric Nursing 5th Edition
Ricci Kyle Carman Test Bank
Chapter 1
1. When integrating the principles of family-centered care into the birthing
process, the nurse would base care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
Answer: C
Rationale: Family-centered care is based on the followinagb i rpb.rcionmc/tiepstles: Birth
affects the entire family, and relationships will change; birth is viewed as a normal,
healthy event in the life of the family; and families are capable of making decisions
about their own care if given adequate information and professional support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Integrated Process: Caring
Reference: p. 7
2. The nurse is working with a group of community health members to develop
a plan to address the special health needs of women. The group would
design educational programs to address which priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer
Answer: B
Rationale: The group needs to address cardiovascular dise as e, the number one
cause of death in women regardless of racial or ethnic group. Smoking is related
to heart disease and the development of cancer. However, heart disease and
cancer can occur in any woman regardless of her smoking hist oarbyirb..cComa/ntecster
is the second leading cause of death, with women having a one in three lifetime
risk of
developing cancer. Diabetes is another important health condition that can affect
women. However, it is not the major health problem that heart disease is.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
,Reference: p. 12
3. A nurse is conducting an orientation program for a group of newly hired nurses.
As part of the program, the nurse is reviewing the issueaob i rfb.icnofmo/trem s t ed
consent. The nurse determines that the teaching was effective when the group
identifies which situation as a violation of informed consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an oapbier br.caotmiv/ t eestpermit
C. Asking whether the client understands what she is signing following
receiving education
D.Getting verbal consent over the phone for an emergeanbicrby.c opmr/ot ecstedure
from the spouse of a unconscious woman
Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide
consent for health care. Serving as a witness to the signature process, asking
whether the client understands what she is signing, anda gb i rebt.ctoimn/gte svt erbal
consent over the phone for emergency procedures are all key to informed consent
and are not violations.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caabrier b
Cognitive Level: Analyze
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 45
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
her fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset priority
responsibility of the nurse providing care to this woman?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of the risks and benefits of the
procedure C. Explaining the exact steps that will occur during the parbo
irbc.ceod mu /terset
D. Offering suggestions for alternative options for treatment
Answer: A
Rationale: The nurse's responsibilities related to informed consent include: Ensuring
the consent form is completed with signatures from the client; serving as a witness
to the signature process; and determining whether the calbiierbn.ctomu/tnesdterstands
what she is signing by asking her pertinent questions. The physician, advanced
practice nurse, or midwife is responsible for informing the client about the procedure
and obtaining consent by providing a detailed description of the procedure or
treatment, its potential risks and benefits, and alternative methodsaab iv r ba. ciolma/bt elset
.Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
,Integrated Process: Nursing Process
Reference: p. 45
5. A 9-month-old with glaucoma requires surgery. The inabfiarbn.
cto'ms/t epsat rents are divorced. To obtain informed consent, which
action would be most appropriate?
A. Contacting the father for informed consent
B. Obtaining informed consent from the
mother
C. Seeking a court ruling on the course of care
D. Determining sole or joint custody by the
parents
Answer: D
Rationale: The most appropriate action would be to determine legal custody by
court decree. If the parents have joint custody, then either parent may give
consent, but it is always best to have consent given by baboirtbh.c opma/t ersetnts. The
parent with only physical custody may give consent for emergency care. The last
resort is getting a court ruling; usually this is not necessary unless the parents
disagree about the care of the child.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Manageam b
irbe.cnotm/otefstCare Integrated Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would bea bsirtb.
cionmd/tiecsatte that her education on family-centered care was fully
understood?
A. "Childbirth affects the entire family, and relationships will change."
B."Families are usually not capable of making health caarbeir bd.ceomc/itseisot ns for
themselves, especially in stressful situations."
C. "Mothers are the only family member affected by childbirth."
D. "Since childbirth is a medical procedure, it may affect everyone."
Answer: A
Rationale: Childbirth affects the entire family, and relati oabnirbs.hc oimp/steswt ill
change. Childbirth is viewed as a normal life event, not a medical procedure.
Families are very capable of making health care decisions about their own care
with proper information and support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 15
7. Which aspect of client wellness has not been a focusaobfir
bh.ceoma/lt tehs t during the 21st century ?
, A. Disease prevention
B. Health promotion
C. Wellness
D. Analysis of morbidity and
mortality
Answer: D
Rationale: The focus on health has shifted to disease preabvireb.ncotmio/tn e s,t health
promotion, and wellness. In the last century, much of the focus was on analyzing
morbidity and mortality rates.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: , p. Health Status of Women and Children
8. A nurse is planning a continuum of care for a client
duabriirbn.cgomp/treestgnancy, labor, and childbirth. What is the most
important factor in enhancing the birthing experience?
A. Adhering to strict specific routines
B. Involving a pediatric physician
C. Educating the client about the importance of a
supporatbirpb.ecorms/otenst D. Assigning several nurses as a support
team
Answer: C
Rationale: Educating the client about the importance of a support person during
labor and delivery has been shown to improve and enhance the birthing
experience.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 5-7
9. The nurse is administering a number of therapeutic inatbeir
br.vcoemn/tteisot ns for neonates,infants, and children on the pediatric unit.
Which intervention contributes to an increase in chronic illness seen in
early childhood?
A. Administering antibiotics to prevent lethal
infections B. Vaccinating children to prevent
childhood diseases C. Using mechanical ventilation
for premature infants D. Using corticosteroids as a
treatment for asthma
Answer: C
Rationale: Using mechanical ventilation and medications to foster lung
development in premature infants increases their survival rate. Yet thaebi
ribn.cfoamn/ttesst who survive are often faced with myriad chronic illnesses.
Administering antibiotics to prevent lethal
Ricci Kyle Carman Test Bank
Chapter 1
1. When integrating the principles of family-centered care into the birthing
process, the nurse would base care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
Answer: C
Rationale: Family-centered care is based on the followinagb i rpb.rcionmc/tiepstles: Birth
affects the entire family, and relationships will change; birth is viewed as a normal,
healthy event in the life of the family; and families are capable of making decisions
about their own care if given adequate information and professional support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Integrated Process: Caring
Reference: p. 7
2. The nurse is working with a group of community health members to develop
a plan to address the special health needs of women. The group would
design educational programs to address which priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer
Answer: B
Rationale: The group needs to address cardiovascular dise as e, the number one
cause of death in women regardless of racial or ethnic group. Smoking is related
to heart disease and the development of cancer. However, heart disease and
cancer can occur in any woman regardless of her smoking hist oarbyirb..cComa/ntecster
is the second leading cause of death, with women having a one in three lifetime
risk of
developing cancer. Diabetes is another important health condition that can affect
women. However, it is not the major health problem that heart disease is.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
,Reference: p. 12
3. A nurse is conducting an orientation program for a group of newly hired nurses.
As part of the program, the nurse is reviewing the issueaob i rfb.icnofmo/trem s t ed
consent. The nurse determines that the teaching was effective when the group
identifies which situation as a violation of informed consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an oapbier br.caotmiv/ t eestpermit
C. Asking whether the client understands what she is signing following
receiving education
D.Getting verbal consent over the phone for an emergeanbicrby.c opmr/ot ecstedure
from the spouse of a unconscious woman
Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide
consent for health care. Serving as a witness to the signature process, asking
whether the client understands what she is signing, anda gb i rebt.ctoimn/gte svt erbal
consent over the phone for emergency procedures are all key to informed consent
and are not violations.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caabrier b
Cognitive Level: Analyze
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 45
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
her fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset priority
responsibility of the nurse providing care to this woman?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of the risks and benefits of the
procedure C. Explaining the exact steps that will occur during the parbo
irbc.ceod mu /terset
D. Offering suggestions for alternative options for treatment
Answer: A
Rationale: The nurse's responsibilities related to informed consent include: Ensuring
the consent form is completed with signatures from the client; serving as a witness
to the signature process; and determining whether the calbiierbn.ctomu/tnesdterstands
what she is signing by asking her pertinent questions. The physician, advanced
practice nurse, or midwife is responsible for informing the client about the procedure
and obtaining consent by providing a detailed description of the procedure or
treatment, its potential risks and benefits, and alternative methodsaab iv r ba. ciolma/bt elset
.Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
,Integrated Process: Nursing Process
Reference: p. 45
5. A 9-month-old with glaucoma requires surgery. The inabfiarbn.
cto'ms/t epsat rents are divorced. To obtain informed consent, which
action would be most appropriate?
A. Contacting the father for informed consent
B. Obtaining informed consent from the
mother
C. Seeking a court ruling on the course of care
D. Determining sole or joint custody by the
parents
Answer: D
Rationale: The most appropriate action would be to determine legal custody by
court decree. If the parents have joint custody, then either parent may give
consent, but it is always best to have consent given by baboirtbh.c opma/t ersetnts. The
parent with only physical custody may give consent for emergency care. The last
resort is getting a court ruling; usually this is not necessary unless the parents
disagree about the care of the child.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Manageam b
irbe.cnotm/otefstCare Integrated Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would bea bsirtb.
cionmd/tiecsatte that her education on family-centered care was fully
understood?
A. "Childbirth affects the entire family, and relationships will change."
B."Families are usually not capable of making health caarbeir bd.ceomc/itseisot ns for
themselves, especially in stressful situations."
C. "Mothers are the only family member affected by childbirth."
D. "Since childbirth is a medical procedure, it may affect everyone."
Answer: A
Rationale: Childbirth affects the entire family, and relati oabnirbs.hc oimp/steswt ill
change. Childbirth is viewed as a normal life event, not a medical procedure.
Families are very capable of making health care decisions about their own care
with proper information and support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 15
7. Which aspect of client wellness has not been a focusaobfir
bh.ceoma/lt tehs t during the 21st century ?
, A. Disease prevention
B. Health promotion
C. Wellness
D. Analysis of morbidity and
mortality
Answer: D
Rationale: The focus on health has shifted to disease preabvireb.ncotmio/tn e s,t health
promotion, and wellness. In the last century, much of the focus was on analyzing
morbidity and mortality rates.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: , p. Health Status of Women and Children
8. A nurse is planning a continuum of care for a client
duabriirbn.cgomp/treestgnancy, labor, and childbirth. What is the most
important factor in enhancing the birthing experience?
A. Adhering to strict specific routines
B. Involving a pediatric physician
C. Educating the client about the importance of a
supporatbirpb.ecorms/otenst D. Assigning several nurses as a support
team
Answer: C
Rationale: Educating the client about the importance of a support person during
labor and delivery has been shown to improve and enhance the birthing
experience.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 5-7
9. The nurse is administering a number of therapeutic inatbeir
br.vcoemn/tteisot ns for neonates,infants, and children on the pediatric unit.
Which intervention contributes to an increase in chronic illness seen in
early childhood?
A. Administering antibiotics to prevent lethal
infections B. Vaccinating children to prevent
childhood diseases C. Using mechanical ventilation
for premature infants D. Using corticosteroids as a
treatment for asthma
Answer: C
Rationale: Using mechanical ventilation and medications to foster lung
development in premature infants increases their survival rate. Yet thaebi
ribn.cfoamn/ttesst who survive are often faced with myriad chronic illnesses.
Administering antibiotics to prevent lethal
